Sleep severity and fatigue manifestations in relation to the doctor-patient relationship
Sleep severity and fatigue manifestations in relation to the doctor-patient relationship
复制标题
DOI：
10.1016/j.sleep.2019.02.015
复制
发表时间：
2019-06-01
期刊：
影响因子：
4.8
通讯作者：
Alhakem, Salim Saadi Miho
中科院分区：
文献类型：
--
作者：
Azzez, Salim Saeed;Abdulah, Deldar Morad;Alhakem, Salim Saadi Miho
目的：医患关系在提供高质量的医疗保健中起着重要作用。本研究的目的是探讨和评估睡眠严重程度和疲劳表现对医患关系的影响。方法：本研究分析了123名伊拉克不同专业和不同班次的医生的横断面样本。采用雅典失眠量表(AIS)按照国际疾病分类(ICD-10)评定睡眠严重程度难度，采用多维疲劳症状量表-简表(MFSI-SF)评定疲劳的多维性。采用医患关系困难问卷(DDPRQ-10)对医患关系进行测评。结果：本研究中，近一半(45.5%)的医生为失眠症患者。疲劳总分为9.46分；一般疲劳(男：5.84分)；躯体疲劳(男：5.15分)；情绪疲劳(男：6.04分)；精神疲劳(男：5.45分)；精力(男：12.98分)。医生在与病人的交流中感觉到轻微的刺激(M：2.33)；有中度焦虑不安(M：3.37)；在交流中有轻微的顺从(M：1.71)；轻微地认为病人有自毁倾向(M：1.97)。此外，研究表明，一般和身体疲劳、夜班工作和公共部门增加的工作时间是医生对患者感到恼火的预测因素。同样，公共部门临床医生工作时间的增加是他们与患者关系顺从性降低的预测因素。结论：目前的调查表明，失眠与医患关系的负面类别存在间接关联。(C)2019爱思唯尔B.V.保留所有权利。
Objectives: The doctorepatient relationship has an important role in the delivery of high-quality healthcare. The aim of the present study was to explore and evaluate the impact of sleep severity and fatigue manifestations on doctorepatient relationships.Methods: The present study was an analysis of a cross-sectional sample of a total of 123 physicians with different specialties and work in various shifts in Iraq. Sleep severity difficulty was measured by Athens Insomnia Scale (AIS) in accordance with the International Classification of Diseases (ICD-10) and the multidimensional nature of fatigue was assessed by the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF). Moreover, the doctor-patient relationship was measured by Difficult Doctor-Patient Relationship Questionnaire (DDPRQ-10).Results: In this study, nearly half of the physicians (45.5%) were insomniacs. The total fatigue score was 9.46; general fatigue (Mean (M): 5.84 of 24); physical fatigue (M: 5.15 of 24); emotional fatigue (M: 6.04 of 24); mental fatigue (M: 5.45 of 24); and vigor (M: 12.98 of 24). The doctors felt slight irritation in their communications with patients (M: 2.33); had moderate dysphoria (M: 3.37); had slight compliance in their communications (M: 1.71), and slightly considered patients to be self-destructive (M: 1.97). In addition, the study showed that general and physical fatigue, night shift-work, and increased working hours in the public sector were predictors for doctors finding their patient irritating. Similarly, increased working hours by clinicians in the public sector was a predictor for having less compliance in their relationships with patients.Conclusion: The present investigation suggests that insomnia has an indirect association with negative categories of the doctor-patient relationship. (C) 2019 Elsevier B.V. All rights reserved.